Provider Demographics
NPI:1265630867
Name:TURNTINE OCULAR PROSTHETICS, INC
Entity Type:Organization
Organization Name:TURNTINE OCULAR PROSTHETICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:W
Authorized Official - Last Name:TURNTINE
Authorized Official - Suffix:
Authorized Official - Credentials:BCO, BADO
Authorized Official - Phone:913-962-6299
Mailing Address - Street 1:2144 SW 36TH ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66611-2554
Mailing Address - Country:US
Mailing Address - Phone:913-962-6299
Mailing Address - Fax:913-962-2275
Practice Address - Street 1:6342 LONG ST
Practice Address - Street 2:SUITE H
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66216-2560
Practice Address - Country:US
Practice Address - Phone:913-962-6299
Practice Address - Fax:913-962-2275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS48446OtherBLUE CROSS OF KANSAS
KS1138190002Medicare ID - Type Unspecified